# INDIANA COMMUNITY HOME HEALTHCARE SERVICE L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467507889
- **Authorized official:** MR. ABDULKADIR MUKTAR HAJI ABDULKADIR HAJI (CEO)
- **Authorized official phone:** (614) 376-7447

## Contact information

- **Practice address:** 4532 W PERRY ST, INDIANAPOLIS, IN 46241-6274
- **Practice address phone:** (614) 376-7447
- **Mailing address:** 4532 W PERRY ST, INDIANAPOLIS, IN 46241-6274
- **Mailing address phone:** (614) 376-7447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | IN | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020